IGAS, the general inspectorate of health activities, has opened an inquiry process into why a man with life-threatening injuries was driven by ambulance 40 kms to a hospital that was not equipped to treat him. As Expresso and other news sources have explained the unnecessary to-ing and fro-ing may not have changed the outcome (which has been amputation of the leg), but it should not have happened. Emergency medical associations highlighted the story last weekend, saying that emergency medical care in Portugal is failing.